Divya Koster, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD12414 Issued in RI

Practice address

31 Roche Brothers Way Ste 210
North Easton, MA 02356-1038

Phone

(508) 894-8760

Fax

(508) 894-0412

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: divya.koster@direct.signature.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Signature Healthcare Medical Group Inc

  • Internal Medicine Physician
  • Brockton, MA
  • NPI 1508804949

  Pediatrics

  Medicare reassignment NPD
• Riverside Pediatrics Inc

  • Pediatrics Physician
  • E Providence, RI
  • NPI 1699711002
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1073694147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ROCHE BROTHERS WAY STE 210",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561038",
            "telephone_number": "508-894-8760",
            "fax_number": "508-894-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ROCHE BROTHERS WAY STE 210",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561038",
            "telephone_number": "508-894-8760",
            "fax_number": "508-894-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTER",
        "first_name": "DIVYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD12414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD OF RI",
            "identifier": "33636",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA98084",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6770670",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaac Bouk Kim, DMD
• Emily Kaitlyn King, MS, WHNP-BC
• Melissa Lauren Kirkland, FNP
• Harry E Klebanoff, PH.D.
• Heather S Knight, PTA
• Stephen Kozak, MSW, LICSW
• Kozol Vision Center Inc
• Neil David Kozol, O.D.
• Peter Krysko, MED, LATC
• Alison Kuechler, DPT

• Pediatrics Physician in North Easton, MA
• Providers in North Easton, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.